Glossary

Glossary

Listed below are some common terms and definitions used within the field of Developmental Disabilities services. The terms are listed alphabetically for you to scroll thru the page, or you can use the FIND feature within your browser to locate a term more quickly.

Preliminary Implementation Component Tool: A tool used by County Boards and DODD to identify and allocate capacity on Home and Community-Based waivers administered by the Department.

Term

Definition

501

A type of subsidy from the State of Ohio, paid to a County Board of Developmental Disabilities, in order to serve people within the community.

ABD

Aged, Blind and Disabled. This is one category of eligibility for Medicaid.

Abuser Registry

The Abuser Registry lists individuals who have committed abuse, neglect, misappropriation of funds, a failure to report an incident, or who have engaged in improper sexual relations with an individual who has a developmental disability.

Active Treatment

A holistic plan designed by a team of specialists to teach a person to live more independently

ADA

The Americans with Disabilities Act, enacted in 1990, prohibits discrimination against persons because of their disabilities. The ADA serves as a “comprehensive national mandate for the elimination of discrimination against individuals with disabilities.” (42 U.S.C. 12101(b)(1)) The ADA targets three major areas: Title I addresses discrimination by employers; Title II addresses discrimination by governmental entities; and Title III addresses discrimination in public accommodations operated by private entities.

Advocacy

Activities in support of people with developmental disabilities including rights protection, legal and services assistance, and system or policy changes. Public activism and organized promotion of the rights of people with disabilities has created alliances between similarly concerned proponents of disability causes who demand solutions for the problems of independent living.

APSI

Advocacy and Protective Services Inc. is an agency that provides guardianship services to people with I/DD.

Assessment

A formal or informal evaluation of an individual’s needs for supports and specialized services. Evaluation findings form the basis for determining an individual’s level of care (LOC), and for writing a person’s Individual Service Plan (ISP)

Assistive Technology

Equipment or devices, such as wheelchairs, walkers, or speech aids that help a person perform activities of daily living can be range from simple aids to complete machinery. AT can be a device that is used to increase, maintain, or improve the functional capabilities of a person with a disability or a service that directly assists a person with a disability in the selection, acquisition, or use of an assistive technology device. Examples of AT include augmentative communication devices which assist a person who cannot communicate through speech to communicate with others, and adaptive equipment which assists a person to write (such as an adapted pencil or arm brace), or move objects in the person’s environment (such as a switch or remote control device).

ADL

Activities of daily living (ADL): Routine activities that a person does every day such as standing, sitting, eating, bathing, and grooming can be done by the individual or care provider.

Adaptive Skills

These skills are typically needed to live and work in the community: communication, self-care, home living, social skills, leisure, health and safety, self-direction, functional academics, community use and work.

Autism, Autism Spectrum Disorder (ASD)

A developmental brain disorder characterized by impaired social interaction, difficulties in communicating, repetitive or habitual behavior, and other issues. Autism affects each individual differently and in varying degrees, and is referred to as autism spectrum disorder (ASD).

Adult Day Services

Adult day services helps people get services when they are not at home. The new services include Adult Day Support, Vocational Habilitation, Supported Employment, and Non-Medical Transportation.

Adult Day Support

Adult Day Support services are provided separate from any home or facility in which an individual resides, focus on non-work activities, and include five components:
> Assessment — may be formal or informal, for the purpose of developing an Individual ServicePlan (ISP)
> Personal care — includes personal hygiene, eating, communication, mobility, toileting, and dressing
> Skill reinforcement — includes implementing behavioral intervention plans, and help with the use of communication and mobility devices
> Training in self-determination — includes developing self-advocacy skills and acquiring skills that enable an individual to become more independent
> Recreation and leisure — includes supports identified in the ISP that are therapeutic, and help to develop and maintain social relationships and family contacts

Adult Day Support or Vocational Habilitation (Agency)

Adult Day Support or Vocational Habilitation (Agency) means non-vocational day services needed to assure the optional functioning of individuals who participate in these activities in a non-residential setting.

Accessibility

This is the ability of a house, product, place, program, etc. to be easy, not difficult, to use or reach.

BCHP

Bureau of Community Health Plans

BCII

Bureau of Criminal Identification and Investigation. This agency provides a criminal record check used to determine the eligibility of a person to be certified by ODMRDD as a Medicaid service provider.

Behavioral Support Strategies

Strategies included in person-centered plans that help enhance individuals' lives by reducing risk of harm to themselves or to others.

BSVI

Bureau of Services for the Visually Impaired

Buy-In Options

This is federal Medicaid reform recently enacted by Congress that allows states to modify Medicaid eligibility rules that permit people with disabilities returning to work to secure extended Medicaid coverage, but also requires them to contribute toward such coverage, according to rules established by the State. In Ohio this is called Medicaid Buy-In for Workers with Disabilities.

Card Services

Services available through Ohio's Medicaid state plan to people who are determined eligible for Medicaid.

CARF

Council on Accreditation of Rehabilitiation Facilities performs a review regarding the quality of care in residential facilities. Successful surveys result in CARF Accreditation.

CDJFS

County Department of Job and Family Services. Ohio has 88 such departments, one in each county.

CBDD

County Board of Developmental Disabilities. The powers and duties of this political subdivision are defined in ORC 5126.05 . There are 88 County Boards of Developmental Disabilities.

Center for Independent Living

Found in every major city in the United States, centers for independent living (also known as independent living centers) advocate for the rights of people with disabilities and providing them with support services and training programs they need to achieve self-sufficient and productive lives.

CFR

Code of Federal Regulations.

Cerebral Palsy

Cerebral Palsy is a functional disorder caused by damage to the brain during pregnancy, delivery, or shortly after birth. It is characterized by movement disorders, such as: spasticity (right limb muscles), purposeless movements, rigidity (severe form of spacticity), a lack of balance, or a combination of these disorders. Individuals with cerebral palsy may also experience seizures, abnormal, speech, hearing, and visual impairments, and/or developmental disabilities.

Centers for Medicare and Medicaid Services is the federal agency that administers Medicare and Medicaid, and regulates the certification of agencies and care facilities for people with developmental disabilities.

A person who has been or is receiving MRDD services or supports. Words like patient, client, or constituent have been used to describe people with disabilities. These terms imply that a person with a disability is someone who receives services but has little control over them. The term consumer grew out of the independent living movement and signifies someone who selects services and has some control over them.

Consumer Control

Consumer control is the heart of independent living. It stresses the consumer’s right to determine his or her life direction and to make all decisions related to that direction. A project or organization that is consumer controlled is directed, managed, and staffed to a large degree by qualified persons with disabilities.

Control Number

Number assigned by DODD to each waiver recipient for internal tracking purposes.

County Board-eligible

Refers to persons who meet the eligibility requirements that permit a County Board of Developmental Disabilities to deliver services to them.

County Dispute Resolution

An opportunity to dispute an action related to Medicaid or non-Medicaid services with a County Board of Developmental Disabilities, before a State Hearing.

CPT

The Cost Projection Tool is used to project the costs of services provided to individuals enrolled in the Individual Options, Level One, and SELF Waivers.

CY

Calendar Year: From January 1 to December 31 of any year.

DBU

Daily Billing Unit

Day Habilitation

Day Habilitation is used when people go to workshops. It includes things like learning how to pack stuff in boxes so it doesn’t get broken, or how to use a microwave oven to heat your lunch.

DOB

Date of Birth

Department of Developmental Disabilites

The rule making state agency for ICF and HCBS waivers. Support system for individuals with IDD and their families to encourage communtiy engagement, employment, and sustainable housing options.

DODD

The Ohio Department of Developmental Disabilities

Developmental Center (DC)

An Intermediate Care Facility (ICF) for people who have intellectual or other developmental disabilities under the managing responsibility of the Ohio Department of Developmental Disabilities. Ohio has ten DCs.

DRA

Daily Rate Application: A program used in calculating Daily Billing Units.

Developmental Delays

Developmental Delays refer to conditions that represent a significant delay in the process of child development. The delays may involve cognitive, physical, communicative, social/emotional, and adaptive areas of development. Without special intervention, these delays may affect the educational performance of the child.

Developmental Disabilities

Cerebral palsy, epilepsy, autism, or any other conditions that impair general intellectual functions or behavior, or require treatment or services.

DSM-V

Diagnostic and Statistical Manual of Mental Disorders: A Medical reference book that lists and describes many developmental disabilities.

Deinstitutionalization

Both a policy and a practice, this movement that began in the 1960s has reduced the number of people living in state-operated institutions and increased the number of people receiving support in their communities.

Diagnostic and Statistical Manual (DSM)

Used mainly in clinical settings, this guide provides a classification and description of mental disorders and symptoms, and is cited in many disability studies.

Disability

A mental or physical condition that restricts an individual’s ability to engage in substantial gainful activity.

Disability Rights Ohio

Disability Rights Ohio is a non-profit corporation with a mission to advocate for the human, civil and legal rights of people with disabilities in Ohio. In October of 2012, Disability Rights Ohio replaced Ohio Legal Rights Service as Ohio’s Protection and Advocacy (P&A) system and Client Assistance Program (CAP). It is governed by a Board of Directors, primarily consisting of people with disabilities and family members of people with disabilities.

Disability Waiver

A waiver issued by the Ohio Dept. of Developmental Disabilites so that people under age 60 can receive services in their home instead of going to live in a nursing home or hospital.

DODD Number

Assigned by DODD Information Systems for identification. Twice yearly, each County Board reports what services, if any, each eligible person residing in that county has received.

EDI

Electronic Data Interchange.

EI

Early Intervention. Services for children from birth through age 2.

Environmental Accessibility Adaptations

Individual Provider “Environmental accessibility adaptation(s)” means those physical adaptations to the home, required by the individual’s plan of care, which are necessary to ensure the health, welfare and safety of the individual, or which enable the individual to function with greater independence in the home, and without which, the individual would require institutionalization. Such adaptations may include the installation of ramps and grab bars, widening of doorways, modification of bathroom facilities, or installation of specialized electric and plumbing systems that are necessary to accommodate the medical equipment and supplies that are necessary for the welfare of the individual. Excluded are those adaptations or improvements to the home that are of general utility, and are not of direct medical or remedial benefit to the individual, such as carpeting, roof repair, central air conditioning, etc. Adaptations that add to the total square footage of the home are excluded from this benefit. All services shall be provided in accordance with applicable state or local building codes. The benefit limitation for this service, personal emergency response systems, and specialized medical equipment and supplies combined shall not exceed six thousand dollars over a three- year period.

ETR

Evaluation Team Report

Family Support

Persons identified by the individual with disabilities as either family members or significant others who provide the necessary support for recovery.

FFP

Federal Financial Participation. The portion of waiver payments reimbursed to Ohio from the U. S. Dept. of Health and Human Services.

Functional Ability

How well a person can perform activities of daily living without help from someone else constitutes a measure of their functioning.

FFY

Federal Fiscal Year: From October 1 of one year to September 30 of the following calendar year.

FY

Fiscal Year. Time measurement used by state governmental agencies, which extends from July 1 of one year, to June 30 of the following calendar year.

Group Home

A home for persons with disabilities that generally has 16 or fewer residents.

Grandfathered

Allowing a person who was part of an old set of rules to be allowed under a new set of rules, as well. The person is said to be "grandfathered in."

Habilitation

Training in life skills such as housekeeping that have not been learned.

HCBS Waiver

A Home and Community Based Services Waiver allows a person to get services that are not normally covered under the state’s Medicaid plan.

A Medicaid-funded program that provides opportunities to older adults and persons with disabilities. Established in 2008, the program allows people leaving institutions to access additional funding to help make the transition to the community.

Home Modifications

Changes to a home that enable a person to function with greater independence. Examples of Home Modifications are: installing ramps, doorways, wheelchair accessible bathrooms etc.

Home & Community Based Services Waiver Program

In 1981, legislation was passed to fund the HCBS program, which allows states to use Medicaid funds to pay for home and community services for Medicaid-eligible individuals who have disabilities. States must show that these individuals are at risk of being placed or remaining in institutions without these waiver-provided services. Additional legislation has provided Community Supported Living Arrangements for Medicaid-eligible persons with developmental disabilities that does not require the person to be at risk of institutionalization.

Home Delivered Meals

Home-delivered meals means the preparation, packaging and delivery of one or more meals to people who are unable to prepare or get nourishing meals. The waiver will provide two meals a day, seven days a week.

Homemaker/Personal Care

Homemaker/Personal Care is provided in a person’s home and helps a person with daily living activities such as personal hygiene, dressing and eating. The service include: Basic personal care and grooming, helping the person to and from the bathroom, help with medications, household services, light cleaning, shopping, laundry and other activities.

ICFMR (ICF)
ICF-IID

Intermediate Care Facility for the Mentally Retarded (federal language): A Medicaid-funded residential facility that teaches living skills to help people live in less restrictive environments. The acronym ICFMR, while still in statutory language, now may be represented as ICF or as ICF-IID, which is updated language for Intermediate Care Facility for Individuals with Intellectual or Developmental Disabilities.

IEP

Individual Education Plan. It outlines the goals and objectives necessary to meet the educational needs of a person.

ICD-10

International Statistical Classification of Diseases -- a code used in the medical field to identify ailments and conditions.

IHP or ISP or IP

Individual Habilitation Plan. Individual Service Plan. Individual Plan. These outline what type of training is needed to help people gain the living skills they need.

IDEA

The Individuals with Disabilities Education Improvement Act (IDEA) is a federal law that guarantees all eligible children with disabilities between the ages of 3 and 21 (or until the child graduates) the right to a free and appropriate public education designed to meet their individual needs.

IIF

Individual Information Form. Completed annually by local County Boards of MRDD, and submitted to ODMRDD. The data collected includes information on average daily membership of County Boards of MRDD, and services individuals are receiving.

IDS

Individual Data System: A data management system that stores basic information for individuals served or supported by Ohio's DD service system, such as demographic data, and services received

Inclusion

This is the process and outcome of including people with disabilities in the community, so they can live like other citizens, enjoy full civil rights, and contribute to the community. Involvement is at the consumer’s desired level.

Independent Living

The concept of independent living involves the belief that individuals with disabilities have the same rights and responsibilities as other people in society. Thus, services provided to the public should be accessible to persons with disabilities, and systems of support should be made available to help individuals with disabilities live within the community, and lead more independent lives.

Individual Options (I/O) Medicaid Waiver Services

A Waiver that provides funding to individual waiver recipients that allows them to pay for services and supports without which the person would have to move into a long-term care facility or nursing home. With the waiver, Medicaid will allow people to stay in their homes and get support rather than requiring them to live in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). The I/O Waiver currently provides the following services: Homemaker/Personal Care, Home Modifications and Adaptations, Transportation, Respite Care, Social Work, Home-delivered meals, Nutrition, Interpreter Services, Specialized Adaptive or Assistive Medical Equipment and Supplies, Supported Employment, Day Habilitation, Adult Day Services and money management.

IO Waiver

The Individual Options Waiver is a home and community-based waiver that lets people receive the services they need in their own homes.

Individual Service Plan. Developed to identify specific services and supports needed and desired by an individual. The ISP describes all services and supports necessary, regardless of payment source, for a particular individual to maintain health and safety. The ISP should explain how each support service is intended to meet a need, as indicated in the most recent assessment of the individual's functioning levels.

Institutional Respite

Institutional Respite means the care is provided in a Medicaid -certified ICF/IID or a facility licensed by the State of DODD. Respite Care is support on a short term basis for the person who receives the waiver to give family members a break.

Interpreter Services

Interpreter Services helps a person communicate. The interpreter is an unbiased third party who can help the person with disability communicate when asked.

IWGA

The Interagency Work Group on Autism originally was convened by the Ohio Department of Developmental Disabilities, to coordinate efforts among state agency partners so that the gifts, talents, wishes, and needs of Ohioans with Autism Spectrum Disorders are recognized, valued, and addressed.

Job Coach

In supported employment, the Job Coach provides one-on-one training to an individual on the job, until that individual is able to complete tasks to the employer’s satisfaction. As the worker becomes proficient, the Job Coach begins spending less time training the worker. The Job Coach continues to monitor the worker occasionally, and is available when needed to assist with retraining and other support that the worker might need.

JCARR

Joint Committee on Administrative Rule Review: The legislative committee that reviews and approves all departmental non-emergency rules before they can become effective.

Level 1 Waiver

The second of the two Home and Community Based Waivers administered through the Ohio Department of MRDD, the Level One waiver provides funding to individual waiver recipients that allows them to pay for services and supports without which the person would have to move into a long-term care facility or nursing home. The Level One waiver offers a variety of services with set spending limits. Recipients of Level One waiver funding choose from a list of certified Level One waiver providers for the services and supports they need. These fund limited services are generally provided to individuals living at home with their families. This waiver offers seven different services with set spending limits. Some limits can be changed with prior approval from the local County Board of MRDD.

LOC

Level of Care is a determination of the help needed to guarantee a person’s health and safety.

LRE

Least Restrictive Environment. One of the principles of normalization. It requires that people with disabilities receive services and support in environments that do not limit their life activities unnecessarily. For example, children with disabilities should be educated in way that meets their needs, and least limits their opportunities to be near and interact with other children.

Managed Care

An approach to health care financing, this insurance form attempts to control the use and cost of health care services. Offering incentives, implementing cost restrictions, influencing a consumers’ choice of providers, establishing networks, and improving coordination of services are used as methods to manage costs.

MBI-WD or MBI

Medicaid Buy-In for Workers with Disabilities. A program to help people with disabilities who work keep their Medicaid coverage and not lose their benefits.

Medicaid Match

The federal government requires that the state/local government match federal government funds for Medicaid reimbursement services. In Ohio, this is about 60 percent federal and 40 percent state match.

MBS

Medicaid Billing System.

Medicaid Case Number

This is a ten-digit, permanent identification number assigned by the Ohio Department of Medicaid to an individual's file.

Medicaid Match

The federal government requires that the state/local government match federal government funds for Medicaid reimbursement services. In Ohio, this is about 60 percent federal and 40 percent state matching funds.

Mental retardation is a developmental disability. Use of the terminology is fading from usage except for medical diagnoses and federal statutory language. Preferred terms are 'intellectual disability', 'cognitive disability', or the broader term, 'developmental disability.' Mental Retardation is clinically defined as, 'significantly below-average general intellectual functioning (IQ 70-75 or below), existing concurrently with deficits in adaptive behavior, and manifested before the age of 22.

Major Unusual Incident is the reporting system mandated by Ohio law that sets a procedure to review and report allegations of abuse, neglect and potentially serious incidents that occur in the MRDD system.

Natural Supports

When friends, neighbors, relatives, coworkers, and others volunteer to help a person with a disability live a more independent life, they are called natural social supports.

NCI

National Core Indicators: Nationally-recognized performance and outcome indicators that enable developmental disabilities policy makers to benchmark the performance of their state against the performance of other states. NCI also enables each participating state agency to track system performance and outcomes year-to-year.

Non-Medical Transportation

Non-Medical Transportation includes transportation services necessary for an individual to participate in Adult Day Support, Vocational Habilitation, and Supported Employment, as specified in an Individual Service Plan (ISP).

NF

Nursing Facility. A residential facility that is established pursuant to section 1919 (a) – (d) of the Social Security Act, to provide Medicaid-funded services.

NICS

Notification of Individual Change in Status. This form is used to document various changes to an individual's status including county-to-county transfers and others.

Nutrition

Nutrition services is used when people need directions to ensure they are eating the right types of food to be healthy. The service can provide a nutrition care plan that could include an outline of foods to be eaten, conversations about the importance of the food and counseling about the need for proper nutrition. The service can be used to teach the person with disabilities, their family, guardian or others who helps with meals.

OAC

Ohio Administrative Code. The Administrative Code contains the full text of, or a reference to, every rule that has been adopted by the agencies of state government. A rule is a formal, written communication of the law that has been established by an agency under a statute that authorizes the agency to adopt rules.

OBM

Office of Budget and Management. OBM develops, coordinates and monitors the individual budgets of state agencies and reviews all financial transactions made with public funds.

OACBDD

Ohio Association of County Boards of Developmental Disabilities.

OCALI

Ohio Centers for Autism and Low Incidence: OCALI specifically focuses on the needs of individuals who have Autism Spectrum Disorders (ASD) and other developmental disabilities with a low-incidence in the general population -- some of which are newly-emerging, or newly-identified.

OBRA

Omnibus Budget Reconciliation Act of 1987 lets states offer – under a waiver – a variety of home and community-based services that a person may need to avoid living in an institution.

ODE

Ohio Department of Education.

ODH

Ohio Department of Health.

ODDP

Ohio Developmental Disabilities Profile is an assessment tool for individuals enrolled on the Individual Options (IO) Home and Community Based Waiver.

Ohio DODD

Ohio Department of Developmental Disabilities.

ODJFS or DJFS

Ohio Department of job and Family Services

ODM

Ohio Department of Medicaid, the single Medicaid agency for Ohio.

OHP

Ohio Health Plans. An office in the Department of Job and Family Services. This may be more complicated now with the Affordable Care Act?

OEDI

Ohio Eligibility Determination Instrument (diagnostic) for ages 16 and over. This refers to a test to determine the eligibility of persons for state and county MRDD services.

OhioMHAS

In 2013 the Ohio Department of Alcohol and Drug Addiction Services was merged with the former state Mental Health agency to form a combined agency named Ohio Mental Health and Addiction Services (OhioMHAS)

Olmstead v. LC

A recent U.S. Supreme Court decision that found that people with disabilities have rights to services in the least restrictive environment.

Ohio Self-Determination Association. An advocacy organization comprised of self advocates whose goal is to help people with disabilities achieve greater independence and exercise choices in their lives.

PAR

Professionals, Advocates, Resources: PAR is an organization assisting in the development of professionals, advocates, and resources within Ohio’s developmental disabilities community.

Part C, Medicare

Part of Medicare that allows for private insurance to contract with the federal government to offer Medicare benefits through their own policies.

Part D, Medicare

Section of the Medicare program that covers the cost of prescription medications.

Pre-Admission Screening System Providing Options and Resources Today. A waiver available to people over the age of 60 who meet certain requirements.

PATHS

Professional Advancement Through Training and Education in Human Services. A training program for direct support professionals and thier supervisors.

Patient Liability

The amount that the consumer owes, per month, toward his/her care. This amount is determined by the Ohio Dept. of Human Services on an individual basis, and is related to a consumer’s income.

PAWS

Payment Authorization for Waiver Services. The DODD form that authorizes payment for HCBS Waiver services.

PCP

Person Centered Planning emphasizes the needs and choices of the individual when planning services.

People First

An advocacy organization that directly involves people with disabilities in a variety of local, state, and national issues, projects, and programs.

Personal Assistance

At first, this paid support was confined to medical, hygiene, and mobility assistance. It has now expanded to include everyday support, such as recreation, transportation, reading, interpreting, shopping, budgeting, and meal preparation.

Person-Centered Planning

Instead of focusing on a person’s deficits and disability, this form of planning makes the most of a person’s abilities, preferences, and ambitions. It is a changing problem-solving process that reflects the changes in the individual’s life.

PICT

Preliminary Implementation Component Tool: A tool used by County Boards and DODD to identify and allocate capacity on Home and Community-Based waivers administered by the Department.

POS

Purchase of Services. Refers to a contractual arrangement between the DODD and a person, agency, or governmental entity to provide community-based residential services to individuals determined to be eligible to receive these services.

Protocol

A documented and uniform process, which is followed to identify services, paid for by a waiver, which are necessary to meet the health and safety needs of individuals, and avoid their institutionalization.

Provider

A person or agency that delivers services to people with disabilities.

P.L.A.Y.

Play and Language for Autistic Youngsters is a program of play and parental coaching developed by Dr. Richard Solomon of Ann Arbor, Michigan, to help children emerge from the 'shell' of Autism Spectrum Disorders (ASD) and to choose and enjoy social interactions.

Provider Agreement

A contract between ODM and a provider of Medicaid services in which the provider agrees to comply with the terms of the provider agreement, ODJFS, state, and administrative code.

Provider Pool

A listing of ODM-certified waiver/supported living providers who have expressed an interest to a specific County Board of DD, or responded to an RFP, to provide waiver/supported living services within the county. The provider pool is maintained by the County Board of DD, and this listing is made available to persons receiving services and supports. These individuals may select a provider who is a member of the pool, or may select a certified provider who is not a member of the pool, but who is otherwise qualified to provide supports which the individual requires.

Quality Assurance. A structured method of measuring and documenting quality of services.

Redetermination

A process of reassessment of an individual’s continued eligibility for waiver services. Redetermination activities begin for each individual enrolled on a waiver at least three months prior to the date ending his/her current waiver span. New assessments must confirm continued Medicaid eligibility, and are to be used as guidelines for writing a new ISP appropriate for the individual’s needs as described in the assessment report.

Rehabilitation

A process that maximizes individuals’ ability to live independently in their community, rehabilitation traditionally has focused on employment.

Research & Training Centers

Funded by the National Institute of Disability Rehabilitation and Research, these organizations are designed to solve long-term issues in disability and are typically located at institutions where long-term support can insure that their missions are accomplished.

Resident Number

Assigned by ODM Information Systems for identification. The majority of the numbers have seven digits and a few are six digits. Twice yearly, each County Board reports on the IIF what services, if any, each eligible person residing in that county has received. On the IIF form this number is called, ‘client number’. Waiver services are not directly related to this number.

Residential Advisory Group

A statutorily mandated component of supported living administration, which requires a County Board of MRDD to convene a group of individuals to provide input and discuss issues relative to the operation of supported living in the county. At a minimum, this group must be comprised of an individual receiving supports, a County Board of MRDD representative, and a residential service provider.

Respite Care

A service designed to provide temporary residence for a person with a disability who ordinarily lives with family or friends, or to assume temporary responsibility for care of the person in his or her own home. This service provides back-up support, and in some cases relief, to people responsible for care of an ill or disabled person who ordinarily lives in their household.

RFP

Request for Proposal. One of the two methods by which providers may be included in the provider pool. This method affords the County Board of DD the opportunity to deny pool access to certain providers that do not meet their defined expectations.

RSI

Residential Services Indicator. One of the assessment tools which was authorized to be used as a functional assessment in the OBRA Waiver.

Residence County

County where a person lives -- used in forms preparation.

SCHIP

Also referred to as CHIP, SCHIP stands for State Children's Health Insurance Program. Also may be referred to as Healthy Start.

Self-Advocacy

People with I/DD, either individually or in groups, speaking or acting on behalf of themselves, or on behalf of issues that affect people with disabilities.

Service Coordinator

A Service and Support Administrator (SSA), also called a Service Coordinator or Case Manager, works with individuals and providers of services to coordinate services. The SSA should provide the family with the resources and support to ensure that their family member with a disability receives services that are essential to their well-being.

Self-Determination

An initiative built on the principles of freedom, authority, support, responsibility, and confirmation. Self-Determination gives people with disabilities the freedom to decide how they will live, work and participate in the community; the authority to decide how the money allocated to them will be spent; the supports that will allow that person to lead the life they choose; the responsibility of assuring that the money they are using is spent in a useful and appropriate manner; and confirmation that the person and his or her family are critical to making life decisions and designing the system to help them.

SMD

SMD Severely Mentally Disabled. A designation for those adults with severe and persistent mental illnesses who are at the greatest risk for needing services. The SMD designation has been made using four components: the receipt of SSI/SSDI for a mental impairment, diagnosis, duration of impairment and level of functioning.

SL

Supported Living.

SPA

State Plan Amendment.

SN

Skilled Nursing.

SNF

Skilled Nursing Facility.

Social Security Disability Insurance (SSDI)

Monthly benefits are provided to disabled workers and their dependents through this plan funded by Social Security. Participants must have accrued sufficient quarter-years of employment and payment into the system to qualify for benefits.

Social Work

Social Work helps a person and their family with emotional problems or social needs that will allow them to live in the community. The counselor or social worker may work on problem solving, help a person to develop self-help or adaptive skills, or arrange for counseling, or other support services to help ease stress that may be caused by such things as work, families or living situations.

Specialized Assistive Medical Equipment and Supplies

Specialized Adaptive or Assistive Medical Equipment and Supplies are devices, controls or appliances that allow people to do daily living activities or help them communicate; item necessary for life support and the supplies and equipment necessary for upkeep; and durable and non-durable equipment that is not paid for by the Medicaid State Plan.

SSA

Service and Support Administrator is sometimes called a Case Manager. This person links the individual with appropriate service providers,and monitors progress.

SSA

Social Security Administration

SSI

Social Security Income. The federal government provides income support to people 65 and cover, adults and children with blindness or other disabilities, who have few or no financial resources.

SSN

Social Security Number.

State Hearing

An opportunity to dispute an action related to Medicaid, before a hearing officer from ODJFS.

State Plan

Describes the services available in Ohio through the Medicaid card.

Supported Employment

Paid employment in community settings for persons with severe disabilities who need on-going support to perform their work. Support can include on-the-job training, transportation or supervision.

Supported Employment Services (Adult Day Services)

Supported Employment services are intensive, ongoing supports that help people to perform work in a regular employment setting, including self-employment. Supported Employment does not include sheltered
work or other vocational services furnished in specialized facilities.

Supported Living

Central to the concept of supported living is the goal of a supportive environment, living in one’s home, and being included in the community. Many states use the Medicaid HCBS waiver to finance supported living.

TANF

Temporary Aid to Needy Families.

TCM

Targeted Case Management is the coordination of specialized services for an individual that helps them get the needed services, evaluates if the services are appropriate and monitors them.

Tax Equity

State funding available to economically disadvantaged areas.

TBI

Traumatic Brain Injury.

The League

Ohio League for the Mentally Retarded: This organization is now referred to simply as 'The League'. It is an advocacy organization for people with developmental disabilities.

Transition Planning

Transition Planning is a coordinated set of activities focused on improving the academic and functional achievement of a student with disabilities to promote the student’s movement from school to post-school activities. Post-school activities can include college, vocational training, employment, continuing and adult education, adult services, independent living, or community participation. Good transition planning is outcome-oriented, and focuses on results that help the student reach post-school goals. For students with disabilities, transition planning occurs during an Individualized Education Program (IEP) meeting.

Universal Design

The design of products and environments to be usable by all people without the need for adaptation or specialized design is the basis of this principle..

Each County Board of DD establishes a waiting list when there are not enough resources to meet the needs of everyone requesting services. If a person asks for a service that has a waiting list, a county will document the request, along with the date and time it was requested, and place the person’s name on the list if the service is desired within the next twelve months.

Waiver

Waiver is usually used in reference to the Home and Community-Based Waiver program where a state has applied for and received permission to use Medicaid funds to assist and keep people with disabilities in the community. Many of the restrictive requirements of using Medicaid monies are usually waived in these programs.

Waiver Span

A consecutive 365 days, during which an individual’s waiver is expected to be authorized. Ordinarily, the first day of an individual’s span would be the same date of the year in which that individual first received waiver funding. In a Leap Year, a waiver span is 366 days.